0001225208-16-040122.txt : 20161004
0001225208-16-040122.hdr.sgml : 20161004
20161004173247
ACCESSION NUMBER: 0001225208-16-040122
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161001
FILED AS OF DATE: 20161004
DATE AS OF CHANGE: 20161004
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FULLER H B CO
CENTRAL INDEX KEY: 0000039368
STANDARD INDUSTRIAL CLASSIFICATION: ADHESIVES & SEALANTS [2891]
IRS NUMBER: 410268370
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1203
BUSINESS ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD
CITY: ST PAUL
STATE: MN
ZIP: 55110-5132
BUSINESS PHONE: 6126453401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kivits Patrick M.
CENTRAL INDEX KEY: 0001653265
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 161920320
MAIL ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD.
STREET 2: P.O. BOX 64683
CITY: ST. PAUL
STATE: MN
ZIP: 55110
4
1
doc4.xml
X0306
4
2016-10-01
0000039368
FULLER H B CO
FUL
0001653265
Kivits Patrick M.
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Senior VP, EIMEA
Common Stock
2016-10-01
4
M
0
614.0000
46.4700
A
614.0000
D
Restricted Stock Units
0.0000
2016-10-01
4
M
0
614.0000
46.4700
D
2018-10-01
Common Stock
614.0000
1250.2000
D
Employee Stock Option (Right-to-Buy)
33.3800
2026-01-19
Common Stock
22374.0000
22374.0000
D
Employee Stock Option (Right-to-Buy)
34.4300
2025-10-01
Common Stock
7207.0000
7207.0000
D
Performance Stock Units
0.0000
2017-01-19
2019-01-19
Common Stock
2583.8200
2583.8200
D
Restricted Stock Units
0.0000
2019-01-19
Common Stock
2583.8200
2583.8200
D
H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on October 1, 2016.
H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units include stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan.
H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on January 19, 2017. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on October 1, 2016.
H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis. Referred to as restricted stock units in previous filing.
H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units vest in three annual installments beginning on the date shown upon H.B. Fuller achieving return on invested capital at least at the threshold level of performance in each year of the three years of vesting. These performance stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. Referred to as restricted stock units in previous filing.
H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units include stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan. Referred to as restricted stock units in previous filing.
H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 19, 2017. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
/s/ Timothy J. Keenan, Attorney-in-Fact
2016-10-04